NPI 1386239853 · live from the CMS NPI Registry
Michelle Bohnak
Behavior Analyst in Saint Louis, MO. National Provider Identifier 1386239853, active.
NPI record
| NPI | 1386239853 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 12110 Clayton Rd, Saint Louis, MO 63131 |
| Practice phone | 314-605-8026 |
| Mailing address | 1343 Kroeger Dr, Saint Louis, MO 63135 |
| Enumerated | March 5, 2021 |
| Last updated | March 22, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — (MO) |
| Behavior Analyst primary | 103K00000X | 2021009167 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.